I didn't get a choice for either cs...got epidurals for both. First one was a breeze...second one got wierd side effects (all over body itching - gave me a drug and stopped immediately and I got uncontrollable shakes, like jaw moving up and down and couldn't stop it- this stopped after about an hour after csection, it was horrible) I have to say its very rare and my anesthetist the second time around was nothing short of a loser! Having said all this I would still do an epidural again. You have a pva and you administer your own pethadine for up to three days. Doesn't get in the way. Have no idea about spinals coz never had one.